Nurse Consultant, Melbourne, Victoria, Australia Corresponding author: Dr Marilyn Richardson-Tench Tel:
|
|
- Maude Hood
- 5 years ago
- Views:
Transcription
1 Comparison of preparedness after preadmission telephone screening or clinic assessment in patients undergoing endoscopic surgery by day surgery procedure: a pilot study M. Richardson-Tench a, J. Rabach a, D. Kerr a, W. Adams b, S. Brown c Abstract Aim: To compare the effectiveness of preadmission telephone screening versus clinic assessment for preparedness of patients undergoing endoscopy during day surgery procedure. Method: Data was collected from participants by completion of an explicit questionnaire. Results: Forty-nine patients participated. No differences were observed in preparedness for surgery in patients who are assessed by telephone screening or clinic assessment in the pre-operative period. Conclusion: In general telephone screening and clinic assessment of patients ensured preparedness for surgery. Future research might demonstrate a difference with a larger study. Acknowledgments This study was funded by a grant from the Faculty of Health, Engineering and Science, Victoria University and supported by The Day Surgery Special Interest Group (DSSIG). Keywords: Day surgery, patient preparedness, patient anxiety. Author s addresses: a School of Nursing and Midwifery, Victoria University, St. Albans, Victoria, Australia b Day Surgery Special Interest Group, Melbourne, Victoria, Australia c Nurse Consultant, Melbourne, Victoria, Australia Corresponding author: Dr Marilyn Richardson-Tench Tel: marilyn.richardson-tench@vu.edu.au Introduction Day Surgery is an increasingly popular choice for individuals who are able to recover independently or have support at home. Differences exist in how patients are assessed and informed about day surgery procedures, particularly between private and public facilities. The former is frequently performed by the private surgeon, whilst the latter is often nurse initiated. Research during the 1990 s clearly demonstrates that education is a key component to compliance to treatment [1]. There are numerous nursing frameworks to aid admission and discharge information from a nursing perspective [1, 2]. There is however, no firm evidence regarding the extent and method of relaying information and education to patients. Some studies have found that poor compliance results from inadequate education [3,4,5]. Recent studies suggest that whilst there was less requirement for nurses to provide physical interventions during day surgery assessment and preparation, there was an increased need for emotional support to the patient [6,7,8]. Both types of venues present with two reoccurring themes, one is streamlining information to manage time constraints on admission and the other is the accuracy of patient provided information in questionnaire format which may not be understood or interpreted correctly by the patient. As a result the responsibility falls to the patient concerning the giving of information. A pilot study was undertaken in a day surgery centre in Melbourne, Victoria, Australia to evaluate which preadmission care intervention was more effective in enhancing the physical and emotional preparedness for patients undergoing day surgery: preadmission telephone screening or preadmission clinic assessment. Methods Design This was an observational study that evaluated two [2] preadmission interventions: preadmission telephone screening or preadmission clinic assessment. Preadmission clinic assessment usually occurred following the patients appointment with the surgeon where the decision was made for surgery. Telephone screening usually occurred several days before the procedure. Data was collected on admission to the operating suite, following the surgery in the recovery room and within 24 hours post-operative and after the surgical procedure. Setting The study was conducted at a public day surgery centre in Melbourne, Victoria, Australia. This centre performs some 7,000 procedures annually, comprising mostly eye surgery and endoscopy procedures. Sample A purposeful sample was selected of patients undergoing endoscopic surgery as a day surgery procedure during the study period May 2009 to June Patients were ineligible if they had previous day surgery within two years, if they had any form of cognitive impairment, were not independent with activities of daily living or did not provide voluntary consent. Participants were recruited over the 12 month period by a nursing staff member of the day surgery unit. Information was provided to eligible participants regarding the study and their potential involvement in the form of a Participant Information Form. Information was provided by a staff member of the day surgery facility either in person (during clinic assessment) or by telephone (during telephone screening). Written consent was obtained prior to data collection. 74
2 The in-balance in the two sample groups (telephone screening, n=12; clinic assessment, n=37) occurred as a result of a change in management practices from when the study commenced with a preference for clinic assessment by a registered nurse, rather than telephone screening. Data Collection Data was collected from participants on two occasions: 1 On the day of their surgery, and 2 During a post-operative telephone interview 24 hours following the surgery. Data was collected by medical record review and the completion of a questionnaire. The questionnaire was developed specifically for the purpose of this study in collaboration with clinicians who were members of the Day Surgery Special Interest Group (DSSIG). The questionnaire was trialled in a small pilot study involving five patients to assess usability and readability. Minor changes were made to improve the questionnaire in terms of readability after the pilot study. The nurse administered the questionnaire by reading all questions to the participant and documenting the responses on the hard copy data-form. Information collected comprised demographics such as age, gender, co-morbidities, ethnicity, language spoken, living arrangements and type of pre-admission assessment (preadmission clinic or preadmission telephone assessment). Also collected was the patients compliance with the appropriate preparation for the day surgery procedure such as fasting, medication administration and plan for transport home after the procedure. Information regarding the patient s pre-operative knowledge of their procedure and postoperative recovery was elicited. For example, participants were asked to explain in their own words the procedure they were having, if they had obtained information on their procedure from other sources and the restrictions on their activities post-discharge. Data on the patient s satisfaction with the information provided pre-operatively as well as their post-operative recovery was collected 24 hours later in a post-operative follow-up telephone interview. Included in this interview was the patient s overall satisfaction with the procedure and follow-up. Data analysis Data was analysed using descriptive statistics (mean, range, numbers, proportions and univariate statistics. Fischer s Exact test was used to compare knowledge and preparation for categorical variables for the two pre-operative assessment techniques (clinic assessment and telephone screening) using SPSS. Results Forty-nine patients agreed to participate including thirty-two women (65.3%) and seventeen men (34.7%). The median age was 52 years. The majority of participants (83.7%) used English as their first language. Most participants (83.7%) lived with someone else. Approximately half (51.0%) were responsible for dependents. Most participants (98.0%) had a block anaesthetic agent. One participant (2.0%) had a general anaesthetic agent. Nineteen participants (38.8%) had a colonoscopy and gastroscopy, twenty had a gastroscopy (40.8%) and ten (20.4%) had a colonoscopy. Approximately one third (34.7%) of participants had a relative who had experienced a day surgery procedure in the past and about half (47.1%) of the relatives had experienced a prior gastroscopy or colonoscopy. Table 1 outlines the demographic characteristics of the sample. Telephone screening was provided to twelve (24.5%) participants, compared with 37 (75.5%) participants who had a clinic assessment. Participants demonstrated excellent knowledge regarding type of surgery (100%) and location of venue prior to departure from home (85.7%). The majority presented for day surgery in a timely manner (47, 95.9%). All participants (49, 100%) had organised transport home by carers and self-administered their regular medication as requested prior to hospital arrival. In regards to preparation for the day surgery procedure, all participants (49, 100%) had consent organised prior to arrival and a discharge plan prepared. Only 7 participants (14.3%) reported obtaining information regarding surgery or day procedure from other sources prior to presentation for day surgery procedures. Most (40, 81.6%) reported being questioned about their medication prior to hospital admission. Knowledge and preparation prior to day surgery procedure were compared for patients who received telephone screening and clinic assessment, as shown in Table 2. There were no statistically significant differences between the two groups. Patients who received telephone screening were more likely to obtain additional information regarding the surgery and day procedure from additional resources prior to hospital presentation, but the difference was not statistically significant (Telephone Screening: 33.3% vs. Clinic assessment: 8.1%; p=0.051). Recovery after day procedure surgery was compared for patients who received telephone screening and clinic assessment, as shown in Table 3. The majority reported adequate preparation (45, 91.8%) for the day procedure. There were no statistically significant differences between the two groups. Twenty (40.8%) participants reported some pain and/or discomfort in the first 24 hours after surgery. Twenty-nine (59.2%) reported driving within 24 hours after surgery. Some participants did not report full recovery within 24 hours from the procedure (10, 20.4%). Most participants (48, 98.0%) had an uneventful recovery from the surgical procedure and were discharged with their carer as scheduled. One participant had a vasovagal event after the procedure and was admitted overnight for assessment and monitoring. The patient was discharged the following day. Table 3 Comparison of recovery after surgery for phone call and clinical groups. Variable Pain in previous 24 hours Driving in previous 24 hours One patient suggested that he should have been informed to not attend work during the period of bowel preparation. Several participants reported that there was a lack of communication, reassurance and feedback throughout their hospital stay. One participant requested entertainment in the waiting area. Discussion Telephone N (%) Clinic N (%) The primary study objective was to compare two pre-operative interventions for physical and emotional preparedness (adequate preparation for day surgery, level of knowledge/ information provided, and post-operative recovery) for patients undergoing day surgery for endoscopic procedures. Preoperative assessment is p 6 (50.0) 14 (37.8) (50.0) 23 (62.2)
3 Table 1 Demographic Characteristics of the Sample. Variables Age Mean (years) 54.5 Range 20 to 82 n % Gender Female Male Country of birth Australia Europe Asia United Kingdom Other Primary Language Spoken English Italian Greek Other Living circumstances Family Couple Alone Marital Status Married/partner Single Education level Secondary Certificate Primary Bachelor Employment Full/Part time Retired Home Unemployed Dependents 0 > > > > <4 2.0 Anaesthetic Block General Anaesthetic Procedure Gastroscopy & Colonoscopy Gastroscopy Colonoscopy Relative had prior day surgery Yes Relative had prior gastroscopy or colonoscopy Yes
4 Table 2 Comparison of knowledge and preparation. Variable Phone N=12 n (%) Clinic N=37 n (%) p Knowledge of surgery 12 (100) 37 (100) Consent obtained 12 (100) 37 (100) Medication administered as requested 12 (100) 37 (100) Fasted for appropriate length of time 12 (100) 36 (97.3) Discharge plan prepared 12 (100) 37 (100) Carer organised for patient pick-up and timing appropriate 12 (100) 37 (100) Transported self today surgery unit 2 (18.2) 9 (24.3) Knowledge of location of day surgery procedure prior to departure from home 11 (91.7) 31 (83.8) Questioned about medications prior to admission 8 (80.0) 32 (86.5) Information about procedure obtained from other sources prior to admission 4 (33.3) 3 (8.1) Presented in a timely manner 12 (100.0) 35 (94.6) Paperwork prepared prior to presentation 11 (91.7) 38 (100.0) particularly important for patients selected for day surgery to ensure the patient is appropriately prepared physically, psychologically and socially. One important aim of preoperative assessment is to reduce the risk of same day cancellations. There were no cancellations of surgery in this study. All patients had fasted for the appropriate length of time and their medication was administered as per the treatment plan. One point of difference was that patients who were assessed by telephone were more likely to obtain additional information regarding the proposed surgery from other sources prior to admission. However, this study was too small to make inference from the data. A larger, randomised controlled study might investigate this difference in the future. Whilst this small pilot study failed to show any difference for preadmission clinic assessment and telephone screening there are some implications for nursing practice and patient care to consider. The face to face interaction with patients in the pre-assessment clinic allows the nurse to read the patient s body language and to check the patients understanding of preoperative preparation and post operative instructions. Patients are also able to clarify any problems there and then and hence understand the processes required to be correctly prepared for the procedure. A telephone screening process has convenience factors such as time cost and availability. In conclusion this small pilot study failed to show any difference for pre-admission clinic assessment and telephone screening but confirms the direction of previous studies that patient education is integral in ensuring compliance and better patient outcomes. Recommendations This study did not investigate cultural differences within Australia s large multicultural and multilingual population and further investigation would be warranted. Further investigations to elicit where clients find further information and the impact this may or may not have on their experience. There is also scope for a study of personal and relationship response to the Day surgery experience. A larger 360 degree investigation incorporating all stakeholders investigating these gaps would give further information on reliability, feasibility and compliance to guidelines and protocols in place to minimise risk and improve patient outcomes. Acknowledgements The researchers wish to acknowledge the Faculty of Health, Engineering and Science at Victoria University for the funding obtained in a Faculty grant and the Day Surgery Special Interest Group (Vic) for their generous support and guidance. We also wish to thank the staff of the day surgery centre for their participation and support for this project. 77
5 References 1. Royal college of Nursing. Day Surgery Information: Discharge planning. 2004; Retrieved 18th February Mitchell, M. A patient-centred approach to day surgery nursing. Nursing Standard, 2010;24 (44): Rogan Foy C, Timmins F. Improving communication in day surgery settings. Nursing Standard, 2004;19 (7): Suhonen R, Leino-Kilpi H. Adult surgical patients and the information provided to them by nurses: A literature review. Education and Counselling. 2006; 61: Flanagan J, Jones D. High-frequency nursing diagnoses following same-day knee arthroscopy. International Journal of Nursing Terminologies & Classifications 2009; 20 (2): Pearson A, Richardson M, Cairns M. Best practice in day surgery units: a review of the evidence. Journal of Ambulatory Surgery. 2004;11: Pearson A, Ward C, Greenwood, A, Peel S. Pre-Admission procedures for day surgery units Joanna Briggs Institute Best Practice 2002, 6 (5: 1). 8. van Klei W. A, Hennis,P. J, Moen J, Kalkman C. J, Moons K. G. M. The accuracy of trained nurses in pre-operative health assessment: results of the OPEN study. Anesthesia, 2004; 59:
Can web based pre-operative assessment in low risk orthopaedic patients improve patient satisfaction without influencing quality outcome measures?
PRIORITY BRIEFING The purpose of this briefing paper is to aid Stakeholders in prioritising topics to be taken further by PenCLAHRC as the basis for a specific evaluation or implementation research project.
More informationBest practice in day surgery units: a review of the evidence
J. of Ambulatory Surgery 11 (2004) 49 54 Review Best practice in day surgery units: a review of the evidence Alan Pearson a,b,c,, Marilyn Richardson d, Michelle Cairns a The Joanna Briggs Institute, Margaret
More informationShalmon SC 1 (Department of Nursing, BLDEA s Shri BM Patil institute of Nursing science, Bijapur/ Rajiv Gandhi university of Health sciences, India)
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 3, Issue 1 Ver. III (Jan. 2014), PP 08-12 A study to identify the discomforts as verbalized by patients
More informationImproving family experiences in ICU. Pamela Scott Senior Charge Nurse Forth Valley Royal Hospital ICU
Improving family experiences in ICU Pamela Scott Senior Charge Nurse Forth Valley Royal Hospital ICU Family Burden in icu:- Incidence of anxiety symptoms range from 21% to 60.4% (median 40%) from ICU admission
More informationDelayed discharges and unplanned admissions from the Day Care Unit at Mater Dei Hospital, Malta
Delayed discharges and unplanned admissions from the Day Care Unit at Mater Dei Hospital, Malta Abstract Introduction: Day care units are playing an increasingly important role in healthcare provision,
More informationExecutive Summary 10 th September Dr. Richard Wagland. Dr. Mike Bracher. Dr. Ana Ibanez Esqueda. Professor Penny Schofield
Experiences of Care of Patients with Cancer of Unknown Primary (CUP): Analysis of the 2010, 2011-12 & 2013 Cancer Patient Experience Survey (CPES) England. Executive Summary 10 th September 2015 Dr. Richard
More informationEffectiveness of Nursing Process in Providing Quality Care to Cardiac Patients
Effectiveness of Nursing Process in Providing Quality Care to Cardiac Patients Mr. Madhusoodan 1, Dr. S. C. Sharma 2, Dr. MahipalSingh 3 Research Scholar, IIS University, Jaipur (Raj.) 1 S.K.I.M.H. & R.
More informationAddressing the Employability of Australian Youth
Addressing the Employability of Australian Youth Report prepared by: Dr Katherine Moore QUT Business School Dr Deanna Grant-Smith QUT Business School Professor Paula McDonald QUT Business School Table
More informationRefocusing CPA: a summary of the key changes. Bernadette Harrison CPA Manager Bedfordshire & Luton Mental Health & Social Care Partnership NHS Trust
Refocusing CPA: a summary of the key changes Bernadette Harrison CPA Manager Bedfordshire & Luton Mental Health & Social Care Partnership NHS Trust Introduction In March 2008, the Department of Health
More informationPatient survey report 2004
Inspecting Informing Improving Patient survey report 2004 - young patients The survey of young patient service users was designed, developed and coordinated by the NHS survey advice centre at Picker Institute
More informationManagement of the Surgical Patient Preoperative, Intraoperative and Postoperative
NURS 143 Nursing in Health Alterations II Management of the Surgical Patient Preoperative, Intraoperative and Postoperative Upon completion of the O.R., PACU, or SDS experience, the student will be able
More informationHospital at home or acute hospital care: a cost minimisation analysis Coast J, Richards S H, Peters T J, Gunnell D J, Darlow M, Pounsford J
Hospital at home or acute hospital care: a cost minimisation analysis Coast J, Richards S H, Peters T J, Gunnell D J, Darlow M, Pounsford J Record Status This is a critical abstract of an economic evaluation
More informationUnderstanding the Rapid Recovery Program
Understanding the Rapid Recovery Program page 2 Understanding the Rapid Recovery Program Efficiency and Quality of Care in Joint Replacement Objectives and Principles Health care systems face an increasingly
More informationOriginal Article Rural generalist nurses perceptions of the effectiveness of their therapeutic interventions for patients with mental illness
Blackwell Science, LtdOxford, UKAJRAustralian Journal of Rural Health1038-52822005 National Rural Health Alliance Inc. August 2005134205213Original ArticleRURAL NURSES and CARING FOR MENTALLY ILL CLIENTSC.
More informationPatient experiences of Discharge at the Royal Shrewsbury Hospital June 2016
Patient experiences of Discharge at the Royal Shrewsbury Hospital June Chapter Introduction Healthwatch Shropshire (HWS) has received feedback on people s experience of discharge from the Royal Shrewsbury
More informationFar from a perfect world: responding to elder abuse at the Royal Melbourne Hospital
Far from a perfect world: responding to elder abuse at the Royal Melbourne Hospital Presenter: Rebekah Kooge and Catherine O Connor Project contributors: Valetta Fraser, Paulene Mackell, Rebekah Kooge,
More informationUnderstanding The Rapid Recovery Program
Understanding The Rapid Recovery Program Rapid Recovery Understanding The Rapid Recovery Program Efficiency and Quality of Care in Joint Replacement Objectives and Principles Health care systems increasingly
More informationHLT07 Health Training Package Learner resource Version 2 Training and Education Support Industry Skills Unit Meadowbank Product Code: 5571
HLT07 Health Training Package HLTEN512B Implement and monitor nursing care for clients with acute health problems Learner resource Version 2 Training and Education Support Industry Skills Unit Meadowbank
More informationPatients knowledge of the qualifications and roles of anaesthetists
Anaesth Intensive Care 2007; 35: Patients knowledge of the qualifications and roles of anaesthetists A. R. BRAUN*, K. LESLIE, C. MORGAN, S. BUGLER Department of Anaesthesia and Pain Management, Royal Melbourne
More informationHEADER. Enabling the consumer role in clinical governance A guide for health services
HEADER Enabling the consumer role in clinical governance A guide for health services A supplementary paper to the VQC document Better Quality, Better Health Care A Safety and Quality Improvement Framework
More informationMore than 60% of elective surgery
Benefits of Preoperative Education for Adult Elective Surgery Patients NANCY KRUZIK, MSN, RN, CNOR More than 60% of elective surgery procedures in the United States were being performed as outpatient procedures
More informationA comparison of two measures of hospital foodservice satisfaction
Australian Health Review [Vol 26 No 1] 2003 A comparison of two measures of hospital foodservice satisfaction OLIVIA WRIGHT, SANDRA CAPRA AND JUDITH ALIAKBARI Olivia Wright is a PhD Scholar in Nutrition
More informationPatient survey report National children's inpatient and day case survey 2014 The Mid Yorkshire Hospitals NHS Trust
Patient survey report 2014 National children's inpatient and day case survey 2014 National NHS patient survey programme National children's inpatient and day case survey 2014 The Care Quality Commission
More informationPatient views of over 75 years health assessments in general practice
Patient views of over 75 years health assessments in general practice AUTHORS Margaret Spillman B.Sc. (Hons) Geography Research worker, School of Medicine & Dentistry, James Cook University, Rural Health
More informationLong-Stay Alternate Level of Care in Ontario Mental Health Beds
Health System Reconfiguration Long-Stay Alternate Level of Care in Ontario Mental Health Beds PREPARED BY: Jerrica Little, BA John P. Hirdes, PhD FCAHS School of Public Health and Health Systems University
More informationChange In Patient s Perception And Knowledge Regarding Anaesthetic Practice After A Preoperative Anaesthesia Clinic Visit
ISPUB.COM The Internet Journal of Anesthesiology Volume 30 Number 3 Change In Patient s Perception And Knowledge Regarding Anaesthetic Practice After A Preoperative Anaesthesia Clinic Visit M Imran, F
More informationReview of Patient Experience of Elective Orthopaedic Services at Manchester Elective Orthopaedics Centre.
Review of Patient Experience of Elective Orthopaedic Services at Manchester Elective Orthopaedics Centre. Report Summary The purpose of the report was to gather views from people using the elective orthopaedic
More informationSouth Tyneside NHS Foundation Trust. Clinical Policy. Chaperoning Policy. Review Date June 2011
South Tyneside NHS Foundation Trust Clinical Policy Chaperoning Policy Date Approved by Version Issue Date June 2009 2 June Executive 2009 Director of Nursing & Clinical Services Procedure /Policy number
More informationPatient Admission Form
IMPORTANT INFORMATION ABOUT YOUR PROCEDURE Prior to your procedure, you will be contacted by our office staff to inform you of any out of pocket expenses for your procedure. Our nursing staff will also
More informationGastroscopy. Please bring this booklet with you to your appointment. Oesophago-gastro duodenoscopy (OGD)
Gastroscopy Oesophago-gastro duodenoscopy (OGD) Your appointment details, information about the examination, and consent form Please bring this booklet with you to your appointment 1 2 Your appointment
More informationIMPLEMENTING THE IDEAL MODEL - CHANGE MANAGEMENT
IMPLEMENTING THE IDEAL MODEL - CHANGE MANAGEMENT Introducing a changed model of patient care, or making any other change in hospitals, involves all the usual challenges of change management. This is becoming
More informationPatient and carer experiences: palliative care services national survey report: November 2010
University of Wollongong Research Online Australian Health Services Research Institute Faculty of Business 1 Patient and carer experiences: palliative care services national survey report: November 1 -
More informationPATIENT CARE TECHNOLOGY: WHERE THE PATIENT MEETS THE NURSE BELINDA M. TOOLE, PHD, RN, CCRN, CCNS SHARP MEMORIAL HOSPITAL JULY 30, 2017
PATIENT CARE TECHNOLOGY: WHERE THE PATIENT MEETS THE NURSE BELINDA M. TOOLE, PHD, RN, CCRN, CCNS SHARP MEMORIAL HOSPITAL JULY 30, 2017 DISCLOSURE AND LEARNING OBJECTIVES Disclosure The author has no conflict
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Spire Gatwick Park Hospital Povey Cross Road, Horley, RH6 0BB
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Effectiveness of Self Instructional Module (SIM) on Current Trends of Vaccination in Terms
More informationWelcome to the Anaesthesia and Perioperative Care Prioritisation Survey
Welcome to the Anaesthesia and Perioperative Care Prioritisation Survey We want you to nominate the most important topics for future research in anaesthesia and perioperative care. We are therefore asking
More informationEvidence Tables and References 6.4 Discharge Planning Canadian Best Practice Recommendations for Stroke Care Update
Evidence Tables and References 6.4 Discharge Planning Canadian Best Practice Recommendations for Stroke Care 2011-2013 Update Last Updated: June 21, 2013 Table of Contents Search Strategy... 2 What existing
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Pre-Operative Marking
The Newcastle upon Tyne Hospitals NHS Foundation Trust Pre-Operative Marking Version.: 6.1 Effective From: 01 April 2015 Expiry Date: 01 April 2018 Date Ratified: 17 December 2014 Ratified By: Theatre
More informationPATIENT INFORMATION SHEET Laser assisted versus standard ultrasound cataract surgery
PATIENT INFORMATION SHEET Laser assisted versus standard ultrasound cataract surgery A Randomised Comparison of Femtosecond Laser Assisted vs Standard Phacoemulsification Cataract Surgery for Adults with
More informationPEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM)
PEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM) Network Organisation (Trust) Team MVCN LUTON AND DUNSTABLE Luton & Dunstable Colorectal MDT (11-2D-1) - 2011/12 Peer Review Visit Date 11th November 2011
More informationPre Assessment Policy. Trust Policy Forum March 2004
Policy No: OP19 Version 1.0 Name of Policy: Pre Assessment Policy Effective From: March 2004 Approved by: Trust Policy Forum March 2004 Next Review Date: March 2005 Reviewed by: This policy supercedes
More informationECT Reference: Version 4 Effective Date: 28/02/2017. Date
Chaperone Policy Policy Title: Executive Summary: Chaperone Policy This policy sets out guidance on the use of chaperones within the Trust and is based on recommendations from the General Medical Council,
More informationNHS Grampian. Intensive Psychiatric Care Units
NHS Grampian Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance
More informationPsychological therapies for common mental illness: who s talking to whom?
Primary Care Mental Health 2005;3:00 00 # 2005 Radcliffe Publishing Research papers Psychological therapies for common mental illness: who s talking to whom? Ruth Lawson Specialist Registrar in Public
More informationIf this form is downloaded from the web please print all pages and complete by hand.
Victoria Application form If this form is downloaded from the web please print all pages and complete by hand. How to apply 1. The applicant is the person with the disability. All items from Item 1 to
More informationMichelle S Newton 1,2*, Helen L McLachlan 1,2, Karen F Willis 3 and Della A Forster 2,4
Newton et al. BMC Pregnancy and Childbirth (2014) 14:426 DOI 10.1186/s12884-014-0426-7 RESEARCH ARTICLE Open Access Comparing satisfaction and burnout between caseload and standard care midwives: findings
More informationPatients satisfaction with mental health nursing interventions in the management of anxiety: Results of a questionnaire study.
d AUSTRALIAN CATHOLIC UNIVERSITY Patients satisfaction with mental health nursing interventions in the management of anxiety: Results of a questionnaire study. Sue Webster sue.webster@acu.edu.au 1 Background
More informationPre operative assessment
Pre operative assessment Dr Anna Lipp Consultant Anaesthetist, Clinical lead day surgery and pre-op assessment Norfolk and Norwich University Hospital President-elect BADS Overview Organisational issues
More informationRESEARCH PROTOCOL M MED (ANAESTHESIOLOGY) DEPARTMENT OF ANAESTHESIOLOGY, UNIVERSITY OF LIMPOPO (MEDUNSA CAMPUS)
RESEARCH PROTOCOL M MED (ANAESTHESIOLOGY) DEPARTMENT OF ANAESTHESIOLOGY, UNIVERSITY OF LIMPOPO (MEDUNSA CAMPUS) TITLE: AN AUDIT OF PREOPERATIVE EVALUATION OF GENERAL SURGERY PATIENTS AT DR GEORGE MUKHARI
More informationNursing Students Information Literacy Skills Prior to and After Information Literacy Instruction
Nursing Students Information Literacy Skills Prior to and After Information Literacy Instruction Dr. Cheryl Perrin University of Southern Queensland Toowoomba, AUSTRALIA 4350 E-mail: perrin@usq.edu.au
More informationENVIRONMENT Preoperative evaluation clinic. Preoperative evaluation clinic. Preoperative evaluation clinic. clinic. clinic. Preoperative evaluation
Goals and Objectives, Preoperative Evaluation Clinic Rotation, CA-1 and CA-2 year UCSD DEPARTMENT OF ANESTHESIOLOGY PREOPERATIVE EVALUATION CLINIC ROTATION GOALS AND OBJECTIVES, CA-1 and CA-2 YEAR PATIENT
More informationO1 Readiness. O2 Implementation. O3 Success A FRAMEWORK TO EVALUATE MUSCULOSKELETAL MODELS OF CARE
FOR MUSCULOSKELETAL HEALTH O1 Readiness O2 Implementation O3 Success A FRAMEWORK TO EVALUATE MUSCULOSKELETAL MODELS OF CARE GLOBAL ALLIANCE SUPPORTING ORGANISATIONS The following organisations publicly
More informationSurgical Preadmission Information. Joint Replacement Hip. Knee
Surgical Preadmission Information Joint Replacement Hip Joint Replacement Knee Spine Surgery Planning for Surgery Preoperative Assessments and Tests An appointment for Preoperative Assessments and Tests
More informationDepartment of Health. Managing NHS hospital consultants. Findings from the NAO survey of NHS consultants
Department of Health Managing NHS hospital consultants Findings from the NAO survey of NHS consultants FEBRUARY 2013 Contents Introduction 4 Part One 5 Survey methodology 5 Part Two 9 Consultant survey
More informationInternal Audit. Public Dental Service Accounts Receivable. December 2015
December 2015 Report Assessment A A A A A This report has been prepared solely for internal use as part of NHS Lothian s internal audit service. No part of this report should be made available, quoted
More informationA Comparison of Methods of Producing a Discharge Summary: handwritten vs. electronic documentation
BJMP 2011;4(3):a432 Clinical Practice A Comparison of Methods of Producing a Discharge Summary: handwritten vs. electronic documentation Claire Pocklington and Loay Al-Dhahir ABSTRACT Background: It is
More informationAnalytics to Improve Service in a Pre-Admission Testing Clinic
2015 48th Hawaii International Conference on System Sciences Analytics to Improve Service in a Pre-Admission Testing Clinic Saligrama Agnihothri Binghamton University agni@binghamton.edu Anu Banerjee Binghamton
More information1 Introduction 2 2 Definitions of levels of care 3 3 Common principles 4 4 Admission criteria 5 5 Referral procedure
ADMISSION & DISCHARGE POLICY FOR ADULT CRITICAL CARE SERVICES CONTENTS Page 1 Introduction 2 2 Definitions of levels of care 3 3 Common principles 4 4 Admission criteria 5 5 Referral procedure 5-7 5.1
More informationEvaluation of an independent, radiographer-led community diagnostic ultrasound service provided to general practitioners
Journal of Public Health VoI. 27, No. 2, pp. 176 181 doi:10.1093/pubmed/fdi006 Advance Access Publication 7 March 2005 Evaluation of an independent, radiographer-led community diagnostic ultrasound provided
More informationTwenty years of ICPC-2 PLUS
Twenty years of ICPC-2 PLUS the past, present and future of clinical terminologies in Australian general practice Helena Britt Graeme Miller Julie Gordon Who we are Helena Britt - Director,, University
More informationSurgical Variance Report General Surgery
Surgical Variance Report General Surgery Table of Contents Introduction to Surgical Variance Report: General Surgery 1 Foreword 2 Data used in this report 3 Indicators measured in this report 4 Laparoscopic
More informationLow Molecular Weight Heparins
ril 2014 Low Molecular Weight Heparins FINAL CONSOLIDATED COMPREHENSIVE RESEARCH PLAN September 2015 FINALCOMPREHENSIVE RESEARCH PLAN 2 A. Introduction The objective of the drug class review on LMWH is
More informationDay Surgery/Endoscopy Unit
Day Surgery/Endoscopy Unit Information for Day Surgery Patient information Leaflet Your Consultant Surgeon has decided that you need an operation/procedure. Because your operation/procedure requires only
More informationOesophago-Gastro Duodenoscopy (OGD) with Haemostasis
South Tyneside NHS Foundation Trust Oesophago-Gastro Duodenoscopy (OGD) with Haemostasis Patient information booklet Endoscopy Unit Providing a range of NHS services in Gateshead, South Tyneside and Sunderland.
More informationWhat is this Guide for?
Continuing NHS Healthcare (CHC) is a package of services that is arranged and funded solely by the NHS, for those people who have been assessed as having a primary health need. The issue is one of need.
More informationNOT INTENDED FOR DISTRIBUTION TO PATIENTS
NOT INTENDED FOR DISTRIBUTION TO PATIENTS Thank you for completing this important questionnaire regarding your surgical visit. Your feedback is very important in helping us continue to provide the highest
More informationNational findings from the 2013 Inpatients survey
National findings from the 2013 Inpatients survey Introduction This report details the key findings from the 2013 survey of adult inpatient services. This is the eleventh survey and involved 156 acute
More informationMr MARAKA MONAPHATHI. Nurses views on improving midwifery practice in Lesotho
Inaugural Commonwealth Nurses Conference Our health: our common wealth 10-11 March 2012 London UK Mr MARAKA MONAPHATHI Nurses views on improving midwifery practice in Lesotho In collaboration with the
More informationWebinar: Practical Approaches to Improving Patient Pre-Op Preparation
Webinar: Practical Approaches to Improving Patient Pre-Op Preparation Your Presenters Michael Hicks, MD, MBA, FACHE Chief Executive Officer EmCare Anesthesia Services Lisa Kerich, PA-C Vice President Clinical
More informationTowards a national model for organ donation requests in Australia: evaluation of a pilot model
Towards a national model for organ donation requests in Australia: evaluation of a pilot model Virginia J Lewis, Vanessa M White, Amanda Bell and Eva Mehakovic Historically in Australia, organ donation
More informationAssessing Non-Technical Skills. A Guide to the NOTSS Tool Adapted for the Labour Ward
Assessing Non-Technical Skills A Guide to the NOTSS Tool Adapted for the Labour Ward Acknowledgements The original NOTSS system was developed and evaluated in a multi-disciplinary project comprising surgeons,
More informationDEVELOPMENT, VALIDITY AND TESTING OF PATIENT HANDOVER DOCUMENTATION TOOL
DEVELOPMENT, VALIDITY AND TESTING OF PATIENT HANDOVER DOCUMENTATION TOOL Jaspreet Kaur Sodhi 1, Kapil Sharma 2, Jaspreet Kaur 3, Manpreet Kaur Brar 4 Abstract: The aim of this study was to develop and
More informationNational Waiting List Management Protocol
National Waiting List Management Protocol A standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures January 2014 an ciste náisiúnta um cheannach cóireála
More informationMERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY
MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 15 December 2016 Agenda No: 3.3 Attachment: 04 Title of Document: Surgery Readiness Option Report Author: Andrew Moore (Programme Director
More informationRe-designing Adult Mental Health Secondary Care Services through co-production and consultation. 1 Adult Mental Health Secondary Care Services
2016 Re-designing Adult Mental Health Secondary Care Services through co-production and consultation 1 Adult Mental Health Secondary Care Services Contents Forward Vision & Values Introduction Adult Mental
More informationIntroduction of an advanced practice nurse endoscopist program to Victoria
Introduction of an advanced practice nurse endoscopist program to Victoria Melodie Heland, Director Surgical Clinical Services Unit Sylvia Constantinou, Program Manager, State Endoscopy Training Centre
More informationChallenges Of Accessing And Seeking Research Information: Its Impact On Nurses At The University Teaching Hospital In Zambia
Challenges Of Accessing And Seeking Research Information: Its Impact On Nurses At The University Teaching Hospital In Zambia (Conference ID: CFP/409/2017) Mercy Wamunyima Monde University of Zambia School
More informationdevelopment with little being known about the prescribing practices of Australian
Nurse Practitioner Prescribing Practice in Australia Abstract Purpose: In Australia, Nurse Practitioner (NP) services are a relatively new development with little being known about the prescribing practices
More informationPatient survey report Inpatient survey 2008 Royal Devon and Exeter NHS Foundation Trust
Patient survey report 2008 Inpatient survey 2008 Royal Devon and Exeter NHS Foundation Trust The national Inpatient survey 2008 was designed, developed and co-ordinated by the Acute Surveys Co-ordination
More informationSURGEONS ATTITUDES TO TEAMWORK AND SAFETY
SURGEONS ATTITUDES TO TEAMWORK AND SAFETY Steven Yule 1, Rhona Flin 1, Simon Paterson-Brown 2 & Nikki Maran 3 1 Industrial Psychology Research Centre, University of Aberdeen, Aberdeen, Scotland, UK Departments
More informationDiagnostics FAQs. Frequently Asked Questions on completing the Diagnostic Waiting Times & Activity monthly data collection
Diagnostics FAQs Frequently Asked Questions on completing the Diagnostic Waiting Times & Activity monthly data collection First published: October 2006 Updated: 02 February 2015 Prepared by Analytical
More informationPredicting use of Nurse Care Coordination by Patients in a Health Care Home
Predicting use of Nurse Care Coordination by Patients in a Health Care Home Catherine E. Vanderboom PhD, RN Clinical Nurse Researcher Mayo Clinic Rochester, MN USA 3 rd Annual ICHNO Conference Chicago,
More informationTHE USE OF SIMULATION TO DETERMINE MAXIMUM CAPACITY IN THE SURGICAL SUITE OPERATING ROOM. Sarah M. Ballard Michael E. Kuhl
Proceedings of the 2006 Winter Simulation Conference L. F. Perrone, F. P. Wieland, J. Liu, B. G. Lawson, D. M. Nicol, and R. M. Fujimoto, eds. THE USE OF SIMULATION TO DETERMINE MAXIMUM CAPACITY IN THE
More informationPATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE
NHS Board Meeting Tuesday 16 October 2012 Chief Operating Officer (Acute Services Division) Board Paper No. 12/45 PATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE Recommendation:
More informationEffect of a self-management program on patients with chronic disease Lorig K R, Sobel D S, Ritter P L, Laurent D, Hobbs M
Effect of a self-management program on patients with chronic disease Lorig K R, Sobel D S, Ritter P L, Laurent D, Hobbs M Record Status This is a critical abstract of an economic evaluation that meets
More informationNHS SERVICE DELIVERY AND ORGANISATION R&D PROGRAMME
NHS SERVICE DELIVERY AND ORGANISATION R&D PROGRAMME PROGRAMME OF RESEARCH ON ACCESS TO HEALTH CARE A Empirical studies to evaluate innovations to improve access repeat call B Empirical study of priority
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Lozells Medical Practice Finch Road Primary Care Centre, Lozells,
More informationPerceptions of Family Cancer Caregivers in Tanzania: A Qualitative Study. Allison Walker
Perceptions of Family Cancer Caregivers in Tanzania: A Qualitative Study Allison Walker Motivation Upward trend in cancer cases in developing countries Lack of institutional facilities and specialists
More informationEQuIPNational Survey Planning Tool NSQHSS and EQuIP Actions 4.
Standard 1: Governance for safety and Quality and Standard 2: Partnering with Consumers Section 1 Governance, Policies, Business decision making, Organisational / Strategic planning, Consumer involvement
More informationPatients are referred to the hospital by their Credentialed Medical Practitioner (CMP) and must be a suitable candidate for day surgery.
SECTION 1 GENERAL GUIDELINES POLICY CM 1.3 PATIENT SELECTION PROTOCOL AIM/OUTCOME: To provide a patient focused quality healthcare service through appropriate patient selection protocols. The facility
More informationGuidelines for patients undergoing surgery as part of an Enhanced Recovery Programme (ERP)
Guidelines for patients undergoing surgery as part of an Enhanced Recovery Programme (ERP) Summary Helping you to get better sooner after surgery June 2012 Foreword These guidelines have been produced
More informationIMPACT OF SIMULATION EXPERIENCE ON STUDENT PERFORMANCE DURING RESCUE HIGH FIDELITY PATIENT SIMULATION
IMPACT OF SIMULATION EXPERIENCE ON STUDENT PERFORMANCE DURING RESCUE HIGH FIDELITY PATIENT SIMULATION Kayla Eddins, BSN Honors Student Submitted to the School of Nursing in partial fulfillment of the requirements
More informationSATISFACTION FROM CAREGIVERS OF CHILDREN UNDER AGE OF FIVE FOR SURGERY DEPARTMENT OF NATIONAL PEDIATRIC HOSPITAL, PHNOM PENH, CAMBODIA
Original Research Article S113 SATISFACTION FROM CAREGIVERS OF CHILDREN UNDER AGE OF FIVE FOR SURGERY DEPARTMENT OF NATIONAL PEDIATRIC HOSPITAL, PHNOM PENH, CAMBODIA Thol Dawin 1, Usaneya Pergnparn1, 2,
More informationNational Advance Care Planning Prevalence Study Application Guidelines
National Advance Care Planning Prevalence Study Application Guidelines July 2017 Decision Assist: an Australian Government initiative. Austin Health is the lead site for Decision Assist. TABLE OF CONTENTS
More informationHealth informatics implications of Sub-acute transition to activity based funding
Health informatics implications of Sub-acute transition to activity based funding HIC2012 Carrie Schulman What is Sub-acute care? Patients receiving sub-acute care generally require much longer stays in
More informationNATIONAL PATIENT SURVEY, 2004
NATIONAL PATIENT SURVEY, 2004 This survey is about your experience of the services provided by the National Health Service. What condition were you treated for when visiting the NHS Hospital Trust on the
More informationGreater Manchester Neuro-Rehabilitation Services information for patients and carers
THIS BOOKLET IS BEING TRIALLED Greater Manchester Neuro-Rehabilitation Services information for patients and carers Greater Manchester Neuro-Rehabilitation Services gmnrodn@srft.nhs.uk All Rights Reserved
More information2017 Louisiana Nursing Education Capacity Report and 2016 Nurse Supply Addendum Report
217 Louisiana Education Capacity Report and 216 Nurse Supply Addendum Report Louisiana State Board of Center for 217 Louisiana Education Capacity Report and 216 Nurse Supply Addendum Report Executive Summary
More informationInpatient Experience Survey 2012 Research conducted by Ipsos MORI on behalf of Great Ormond Street Hospital
1 Version 2 Internal Use Only Inpatient Experience Survey 2012 Research conducted by Ipsos MORI on behalf of Great Ormond Street Hospital Table of Contents 2 Introduction Overall findings and key messages
More informationDelirium Recovery Programme
Further information Information on who to contact, ie web sites / telephone numbers of other departments / organisations which may be of help. How to contact us Bluebell Ward Watford General Hospital West
More information